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Dr. Kristine E. Mccorquodale, MD
Specialist in West Columbia, South Carolina
NPI 1164402376

Kristine E. Mccorquodale is a Specialist based in West Columbia, SC. Kristine E. Mccorquodale practices in West Columbia, SC and has the professional credentials of MD. The NPI Number for Kristine E. Mccorquodale is 1164402376 and holds a License No. 20763 (South Carolina).

The current practice location address for Kristine E. Mccorquodale is 206 Medical Cir, West Columbia, SC and can be reached out via phone at 803-796-9200 and via fax at 803-796-9226.

Location: 206 Medical Cir, West Columbia, SC, 29169-3654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164402376
Provider Name
Kristine E. Mccorquodale
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
206 Medical Cir, West Columbia, SC, 29169-3654
Phone Number
803-796-9200
Fax Number
803-796-9226
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T49061 05 SC
institution
Provider Business Practice Location Address Details
Address
206 Medical Cir
City
West Columbia
State
South Carolina
Zip
29169-3654
Phone Number
803-796-9200
Fax Number
803-796-9226
person
Provider Business Mailing Address Details
Address
206 Medical Cir
City
West Columbia
State
South Carolina
Zip
29169-3654
Phone Number
803-796-9200
Fax Number
803-796-9226
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
20763 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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